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diagnosis differential causes management treatment cardiology ecg nephrology vomiting cardiacglycoside digitaliseffect digoxin digoxintoxicity electrocardiogram elevation encephalopathy fabfragments high medications nausea
Progressive ECG changes with increasing hyperkalaemia. (a) Normal (b) Tented T wave (arrow)
changes with increasing ... hyperkalaemia ... d) 'Sine wave' pattern ... #ECG #Hyperkalemia ... #Progression #Changes
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... potassium and ECG ... changes • 5.5 ... morphology, "Sine wave" pattems ... , asystole #hyperkalemia
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... #IntercellularShift
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Cell Lysis (e.g ... • Digoxin #Hyperkalemia ... #IntercellularShift
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... changes? ... not quickly) #Hyperkalemia
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm Hepatobiliary: • Acute Hepatitis • Acute
Differential Diagnosis Algorithm ... • Uremia • Hypercalcemia ... Other: • Sepsis (e.g ... Psychogenic #Emesis ... Differential #Diagnosis #Algorithm
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... redistributive hyperkalemia ... , changes on ECG ... , severe hyperkalemia ... Figure 3 is an algorithm
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 Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Seizures • Vision changes ... Blood transfusion, Hypercalcemia ... Imaging Patterns ... territories signal changes ... • EEG: With persistent
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Early-repolarization pattern ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... dissection • Sodium-channel ... #ekg #electrocardiogram
The chemical formula of Digoxin is C41 H64 O14. Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
, hypercalcemia, ... Hypokalemia is a ... in a bigeminal pattern ... effect" on the ECG ... consists of T wave changes
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